中西醫(yī)結(jié)合治療2型心腎綜合征的臨床觀察
發(fā)布時(shí)間:2018-01-26 16:17
本文關(guān)鍵詞: 中西醫(yī)結(jié)合治療 心腎綜合征 療效 出處:《中國中藥雜志》2017年19期 論文類型:期刊論文
【摘要】:觀察中西醫(yī)結(jié)合治療2型心腎綜合征的臨床療效。將入選的2型心腎綜合征患者分為單純西醫(yī)治療組(對(duì)照組)和中西醫(yī)結(jié)合治療組(治療組),2組患者均采用西醫(yī)常規(guī)治療,治療組在此基礎(chǔ)上給予補(bǔ)心益腎湯口服,共治療3個(gè)療程,觀察2組患者治療前后的總療效、心功能指標(biāo)、腎功能指標(biāo)的變化情況。治療組與對(duì)照組的總療效分別為91.80%,72.41%。2組比較有顯著性差異(P0.01);組內(nèi)比較,治療組與對(duì)照組在治療前后的心功能指標(biāo)、腎功能指標(biāo)都有明顯改善,差異有統(tǒng)計(jì)學(xué)意義(P0.01);2組治療后心、腎功能指標(biāo)比較,左室功能、血尿鈉肽、血肌酐、尿素氮、胱抑素-C的改善,治療組均優(yōu)于對(duì)照組(P0.05~0.01)。結(jié)果表明,中西醫(yī)結(jié)合治療能提高2型心腎綜合征的臨床療效,明顯改善心腎功能,優(yōu)于單純的西醫(yī)常規(guī)治療,且具有良好的安全性。
[Abstract]:To observe the clinical effect of type 2 cardiorenal syndrome treated with integrated traditional Chinese and western medicine. The patients with type 2 cardiorenal syndrome were divided into two groups: simple western medicine group (control group) and integrated traditional Chinese and western medicine group (treatment group). Two groups of patients were treated with western medicine routine treatment, the treatment group on the basis of Bushinyishen decoction oral, a total of three courses of treatment, observe the two groups of patients before and after treatment of the total curative effect, cardiac function indicators. The total curative effect of the treatment group and the control group were 91.80 and 72.41, respectively. There was significant difference between the treatment group and the control group (P 0.01). Compared with the control group, the indexes of cardiac function and renal function in the treatment group and the control group were significantly improved before and after treatment, and the difference was statistically significant (P 0.01). The improvement of left ventricular function, hematuria natriuretic peptide, serum creatinine, urea nitrogen and cystatin C in the treatment group was better than that in the control group (P 0.05). The combination of traditional Chinese and western medicine can improve the clinical effect of type 2 cardiorenal syndrome and improve the function of heart and kidney obviously, which is superior to the routine treatment of western medicine alone and has good safety.
【作者單位】: 青島市市立醫(yī)院;
【基金】:國家自然科學(xué)基金項(xiàng)目(81300695)
【分類號(hào)】:R541.6;R692.5
【正文快照】: 隨著我國人口的老齡化和人口壽命的延長,越來越多的多臟器合并疾病是老年科醫(yī)生所面臨的棘手問題。其中心腎綜合征(cardiorenal syndromes,CRS)就是一大難題,引起越來越多的重視,2008年世界腎臟學(xué)會(huì)議提出了心腎綜合征的新定義,即心臟或腎臟中任一器官急性或慢性功能障礙時(shí),另
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